| NPI | 1306296876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TATIANA STURM President/CEO 888-512-6867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA LMFT 53939) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2021-04-08 |